Exam Questions and CORRECT Answers
General s/ sx of Anemia - CORRECT ANSWER SOB, fatigue, weakness, confusion,
dizziness, pale, increased HR, increased RR
SCD - CORRECT ANSWER Cells = 1/2 eaten donut ( sickle shaped) and clump together
RF of SCD - CORRECT ANSWER Genetics + SCD crisis ( stress, dehydration,
vasoconstriction, cold weather, infection, altitude changes, strenuous excercise and pregnancy)
Expected findings of SCD - CORRECT ANSWER Jaundice, itching, hypoxia, clotting
issues, and pain
Interventions for SCD - CORRECT ANSWER 1. Elevate HOB
2. Admin 02
3. Promote vasodilation
4. Hypotonic IV solutions 250 mL/ x 4 hrs
5. Prevent vasoconstriction
6. Frequent circulation checks ( pulses)
7. Monitor for infection
8. ROM as tolerated
9. RBC transfusion every 3-4 months
10. Monitor for SBD ( ulcers)
11. Pain Management ( opioids)
Teaching for SCD - CORRECT ANSWER 1. Increase fluid intake
2. S/ sx of infection and prevention
3. Genetic Counseling
, 4. Proper clothing
5. Maintain vaccinations
6. Avoid large clouds
Priorities during SCD crisis - CORRECT ANSWER 1. Hydration
2. Perfusion
3. Oxygenation
4. Pain management
Iron deficiency Anemia s/ sx - CORRECT ANSWER General anemia s/ sx + fissures in
corner of mouth, spoon nails, and pica
Iron deficiency Anemia - CORRECT ANSWER Loss of blood flow leading to hypoxia or
because of poor iron intake
Interventions for iron deficiency anemia - CORRECT ANSWER 1. Admin 02
2. Elevate hob
3. Encourage food sources + regular intake of iron supplement
4. Fix GI bleed if related
5. Consults: GI, social worker, dietician
Priorities for iron deficiency anemia - CORRECT ANSWER 1. Find the underlying cause
2. Treat the problem
3. Prevent problem from happening
Teaching for iron deficiency anemia - CORRECT ANSWER 1. Encourage diet rich iron
rich foods
2. Iron supplements
3. Drink liquid iron through a straw ( stains teeth)